Michigan Compiled Laws
218-1956-34 - Chapter 34 Disability Insurance Policies (500.3400...500.3480)
Section 500.3407 - Entire Contract; Changes.

Michigan Compiled Laws

Chapter 500 - Insurance Code of 1956

Act 218 of 1956 - The Insurance Code of 1956 (500.100 - 500.8302)

218-1956-34 - Chapter 34 Disability Insurance Policies (500.3400...500.3480)

Section 500.3400 - Definitions; Scope of Chapter, Exemptions, Exceptions.

Section 500.3401 - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.

Section 500.3401a - Group Disability Insurance; Issuance; Filing and Approval of Form.

Section 500.3402 - Disability Insurance Policy; Provisions Required.

Section 500.3402a - Group Disability Insurance Policy; Provisions Required.

Section 500.3402b - Group or Nongroup Disability Insurance Policy; Coordination of Benefits; Provision; Limitation; "Other Coverage" Defined; Payment by Each Insurer.

Section 500.3402c - Family Expense Insurance Policy.

Section 500.3402d - Blanket Disability Insurance; Coverage.

Section 500.3402e - Blanket Disability Insurance Policies; Issuance.

Section 500.3402f - Blanket Disability Insurance Policy; Provisions.

Section 500.3402g - Blanket Disability Insurance Policy; Certificate; Payment of Benefits.

Section 500.3402h - Legal Liability of Policyholder.

Section 500.3403 - Health Insurance Policy Offering Dependent Coverage; Required Provisions; Denial Prohibited; Grounds.

Section 500.3404 - Insurance Policy Issued for Delivery to Nonresident.

Section 500.3405 - Prudent Purchaser Agreements With Providers of Hospital, Nursing, Medical, Surgical, or Sick-Care Services; Rates; Discrimination Prohibited; Optometry, Chiropractic, and Physical Therapy Service.

Section 500.3405a - Use of Most Favored Nation Clause.

Section 500.3406 - Disability Insurance Policy; Provisions Required, Captions, Omissions, Substitutions.

Section 500.3406a - Reconstructive Surgery Following Mastectomy; Prosthetic Device.

Section 500.3406b - Coverage for Mental Health Services by Mental Health Care Provider.

Section 500.3406c - Hospice Care; Definition; Description of Coverage.

Section 500.3406d - Coverage for Breast Cancer Diagnostic Services, Breast Cancer Outpatient Treatment Services, and Breast Cancer Rehabilitative Services; Coverage for Breast Cancer Screening Mammography; Definitions.

Section 500.3406e - Coverage for Drug Used in Antineoplastic Therapy and Cost of Its Administration; Conditions.

Section 500.3406f - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.

Section 500.3406g - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.

Section 500.3406h - Eligibility of Parent for Dependent Coverage; Health Coverage of Child Through Noncustodial Parent; Duties of Insurer; Court or Administrative Order and Notice Required.

Section 500.3406i - Individual Eligible Under Title XIX of Social Security Act; Assignment of Rights of Insured to Department of Social Services.

Section 500.3406j - Insured or Applicant as Victim of Domestic Violence; Refusal to Provide Coverage Prohibited; Liability; "Domestic Violence" Defined.

Section 500.3406k - Emergency Health Services; Medically Necessary Coverage; "Stabilization" Defined.

Section 500.3406l - Medical Transportation Services; Reimbursement; Exception.

Section 500.3406m - Access by Insured to Obstetrician-Gynecologist.

Section 500.3406n - Access to Pediatric Care Services.

Section 500.3406o - Insurer Providing Prescription Drug Coverage; Formulary Restrictions; Expedited Review of Coverage for Nonformulary Alternative; Determination; Subject to 500.3406w.

Section 500.3406p - Establishment of Program to Prevent Onset of Clinical Diabetes Required; Survey; Coverages; "Diabetes" Defined.

Section 500.3406q - Off-Label Use of Approved Drug; Coverage; Conditions; Compliance; Use of Copayment, Deductible, Sanction, or Utilization Control; Limitation; Definitions.

Section 500.3406r - Coverage for Obstetrical and Gynecological Services by Physician or Nurse Midwife.

Section 500.3406s - Diagnosis and Treatment of Autism Spectrum Disorders; Coverage; Prohibition; Availability of Other Benefits; Conditions; Qualified Health Plan Offered Through American Health Benefit Exchange Pursuant to Federal Law; Short-Term or...

Section 500.3406t - Synchronizing Insured's or Enrollee's Multiple Maintenance Prescription Drugs.

Section 500.3406u - Coverage for Prescription Eyedrops; Requirements; "Prescriber" Defined.

Section 500.3406v - Coverage for Emergency Supply of Insulin.

Section 500.3406w - Temporary Emergency and Early Refills for Prescription Drugs; Inapplicable After March 31, 2021.

Section 500.3406x - Nonopioid Directive Form; Website.

Section 500.3406y - Nonopioid Directive Form; Enrollment.

Section 500.3407 - Entire Contract; Changes.

Section 500.3407a - Conduct on Behalf of or Information Provided to Insured by Health Care Provider; Prohibition or Discouragement by Disability Insurer.

Section 500.3407b - Undergoing Genetic Testing as Condition of Issuing, Renewing, or Continuing Policy; Disclosure of Genetic Testing or Genetic Information; Definitions.

Section 500.3408 - Time Limit on Certain Defenses; Incontestable Policy.

Section 500.3409 - Disability Insurance Policy; Mandatory Notices as to Cancellation and Refund of Premium.

Section 500.3410 - Grace Period; Provision Required.

Section 500.3411 - Reinstatement; Provision Required.

Section 500.3412 - Notice of Claim; Provision Required.

Section 500.3413 - Claim Forms; Provision Required.

Section 500.3414 - Proofs of Loss; Provision Required.

Section 500.3416 - Time of Payment of Claims; Provision Required.

Section 500.3418 - Payment of Claims; Provision Required.

Section 500.3420 - Physical Examinations and Autopsy; Provision Required.

Section 500.3422 - Legal Actions; Provision Required.

Section 500.3424 - Change of Beneficiary; Provision Required.

Section 500.3425 - Health Insurance Policy; Coverage for Intermediate and Outpatient Care for Substance Use Disorder Required; Charges, Terms, and Conditions; Reduction of Coverage; Deductibles and Copayment Provisions; Definitions.

Section 500.3426 - Offer of Wellness Coverage by Insurer.

Section 500.3428 - Provider Network.

Section 500.3430 - Optional Policy Provisions; Insurance Commissioner's Approval.

Section 500.3432 - Change of Occupation; Optional Provision.

Section 500.3434 - Misstatement of Age; Optional Provision.

Section 500.3436 - Other Insurance With Same Insurer; Optional Provision.

Section 500.3438 - Insurance With Other Insurers; Optional Provision; Expense Incurred Benefits.

Section 500.3439 - Repealed. 2016, Act 276, Imd. Eff. July 1, 2016.

Section 500.3440 - Insurance With Other Insurers; Other Benefits.

Section 500.3444 - Relation of Earnings to Insurance; Optional Provision.

Section 500.3446 - Unpaid Premium; Optional Provision.

Section 500.3448 - Cancellation; Optional Provision.

Section 500.3450 - Conformity With State Statutes; Optional Provision.

Section 500.3452 - Illegal Occupation or Criminal Activity; Optional Provision; Definitions.

Section 500.3454 - Repealed. 1980, Act 429, Eff. Mar. 31, 1981.

Section 500.3460 - Order of Certain Policy Provisions.

Section 500.3462 - Third Party Ownership of Policy.

Section 500.3464 - Foreign or Alien Insurers; Provision Required by Other State Law; Domestic Insurers; Provision Required by Other State or Country.

Section 500.3466 - Filing Procedure; Insurance Commissioner, Regulatory Powers.

Section 500.3468 - Provisions Violating Code; Construction of Noncomplying Policies and Provisions.

Section 500.3470 - Age of Insured; Provision Regulations.

Section 500.3471 - Provision and Nondisclosure of Large Employer Group Claims Utilization and Cost Information; Civil Liability Immunity; Definitions.

Section 500.3472 - Open Enrollment Period; Prohibitions; Establishment of Reasonable Periods for Health Insurance Policies; Minimum Standards for Frequency and Duration of Open Enrollment Periods; Denial of Coverage.

Section 500.3474 - Risk Classification; Rates; Filing Requirements.

Section 500.3474a - Premium Rate After January 1, 2014; Basis; Factors.

Section 500.3475 - Reimbursement for Services by Licensed Psychologist, Podiatrist, or Chiropractor; Section Inapplicable to Policy Involving Prudent Purchaser Agreement.

Section 500.3476 - Telemedicine Services; Provisions; Definitions.

Section 500.3477 - Use of Financial Incentive or Payment to Act as Inducement to Deny, Reduce, Limit, or Delay Services; Prohibition; Exception.

Section 500.3480 - Repealed. 1963, Act 127, Eff. Sept. 6, 1963.